Walden University NURS 6512 Final Exam Quizlet

Walden University NURS 6512 Final Exam Quizlet

Question 1

You are reviewing an ECG of a 43 year old new patient. The patient has a history of second-degree heart block. The ECG shows the PR interval is increases with each beat until a QRS is dropped. What is this type of block called?

		Second degree heart block, type 2: Mobitz 2
		First degree heart block
		Second degree heart block, type 1: Wenckebach/Mobitz 1
		Third degree-complete heart block

 

Walden University NURS 6512 Final Exam Quizlet Question 2

Which cranial nerves are usually evaluated during the examination of the eyes?

		III and VI
		II and IX
		I and II
		IV and VII

Question 3

The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.

		20
		25
		5
		10

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Question 4

The adnexa of the uterus are composed of the:

		uterosacral and broad ligaments.
		vagina and fundus.
		corpus and cervix.
		fallopian tubes and ovaries.

 

Question 5

You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your ECG shows irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. Walden University NURS 6512 Final Exam Quizlet What rhythm would you suspect the ECG is showing?

		Atrial Fibrillation
		Ventricular Fibrillation
		Asystole
		Ventricular Tachycardia

 

 

Question 6

When palpating breast tissue, the examiner should use the _____ at each site.

		fingertips, lifting
		ulnar surface of the hands, gliding
		palms of the hands, gliding
		finger pads, gliding

Walden University NURS 6512 Final Exam Quizlet Question 7

Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:

		PR interval.
		P wave.
		QRS complex.
		ST segment.

 

 

 

Question 8

Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation Walden University NURS 6512 Final Exam Quizlet. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:

		testicular cancer
		hydrocele
		scrotal hernia.
		rectocele.

 

 

 

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Walden University NURS 6512 Final Exam Quizlet Question 10

At your first meeting with a patient, it is usually best to say:

		“Let me tell you what I can do for you.”
		“I hope you will learn to trust me.”
		“Let’s get to the point.”
		“Tell me about yourself.”

 

Question 12

Facial muscle or tongue weakness may result in:

		word salad.
		aphasia.
		echolalia.
		neologisms.

 

 

Walden University NURS 6512 Final Exam QuizletQuestion 13

The finger-to-nose test allows assessment of:

		two-point discrimination.
		coordination and fine motor function.
		point location.
		sensory function.

 

Question 14

When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:

		presence and form of body parts.
		length of time needed to draw a stick man.
		gender and race of the person drawn.
		approximate age and posture of the person drawn.

 

Question 15

When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign.

		obturator
		Kernig
		Brudzinski
		Babinski

 

Question 16

Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.

		pulse rate decrease and diastolic pressure decrease of more than 5 mm Hg
		diastolic pressure increase of more than 5 mm Hg and no pulse rate changes
		systolic pressure drop of more than 15 mm Hg with a pulse rate increase
		pulse rate decrease with a systolic pressure increase of at least 15 mm Hg

Question 19

Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:

		crossing the arms over the chest.
		twisting at the waist.
		performing push-ups.
		duck walking.

Question 21

Throughout the history and physical examination, the clinician should:

		follow an inflexible sequence.
		deal only with previously identified problems.
		evaluate the whole patient.
		concentrate on emotional issues.

Question 22

Functional assessment is most important during the examination of a(n):

		young adult.
		older adult.
		infant.
		adolescent.

Question 23

To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:

		both arms overhead with palms upward.
		her arms straight alongside of her body.
		her hands clasped just above the umbilicus.
		one arm overhead and a pillow under her shoulder.

 

Question 24

A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema.  Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of 90%. On examination patient is noted to have jugular venous distention, enlarged liver, and crackles are noted on examination. A chest x-ray is completed and shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis?

		Right Sided Congestive Heart Failure
		Left Sided Congestive Heart Failure
		Pneumonia
		Emphysema

 

Question 25

Recent unilateral inversion of a previously everted nipple suggests:

		pregnancy.
		cancer.
		benign breast disease.
		mastitis.

 

Question 26

A common finding in markedly obese and pregnant women is:

		paraphimosis.
		scoliosis.
		kyphosis.
		lordosis.

Question 27

If your patient has nipple discharge, you will most likely need a:

		glass slide and fixative.
		Vacutainer tube.
		tape strip to test pH.
		specimen jar with formaldehyde.

 

 

 

Question 28

Normal changes of the aging brain include:

		increased total number of neurons.
		diminished perception of touch.
		increased velocity of nerve conduction.
		diminished intelligence quotient.

 

Question 29

A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.

		1
		15
		10
		3

Question 30

The physical assessment technique most frequently used to assess joint symmetry is:

		palpation.
		percussion.
		inspection.
		the use of joint calipers.

 

Question 31

Nerves that arise from the brain rather than the spinal cord are called:

		sympathetic.
		cranial.
		autonomic.
		parasympathetic.

Question 32

The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

		explain that you will be gentle.
		hand the child a picture book.
		let the child hold the stethoscope while you listen.
		tell the child he or she will get a lollipop for good behavior.

 

Question 33

Examination of the patient in the lithotomy, or knee-chest, position includes:

		stereognosis testing.
		inspection for inguinal hernias.
		palpation of anal sphincter tone.
		percussion of pelvic structures.

Question 34

A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is noted to have limited ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there is a severe deformity of the vertebral column.

What is the most likely diagnosis for this patient?

		Lumbar Radiculopathy
		Herniated Lumbar Disk
		Lumbar Stenosis
		Ankylosing Spondylitis

 

uestion 35

A pulsation that is diminished to the point of being barely palpable would be graded as:

		1
		3
		2
		0

 

Question 36

The family history for a patient with joint pain should include information about siblings with:

		obesity.
		chronic atopic dermatitis.
		genetic disorders.
		trauma to the skeletal system.

Question 37

Anterior cruciate ligament integrity is assessed via the _____ test.

		Homan
		straight leg raise
		Thomas
		Lachman

‘Question 38

During chest assessment, you note the patient’s voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e’s sound like a s. This sound is indicative of:

		lung consolidation.
		bronchial obstruction.
		asthma.
		emphysema.

 

 

uestion 39

A positive straight leg raise test usually indicates:

		hip bursitis.
		lumbar nerve root irritation.
		improperly conditioned muscles.
		leg length discrepancy.

 

 

 

Question 40

The musculoskeletal examination should begin when:

		during the collection of subjective data.
		when height is measured.
		when joint mobility is assessed.
		the patient enters the examination room.

 

uestion 41

A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them.  She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:

		instruct her that this is a side effect of birth control injection therapy.
		suggest a pregnancy test
		schedule an appointment with a surgeon.
		refer her to a gynecologist for pap smear

Question 42

To hear diastolic heart sounds, you should ask patients to:

		lie on their back.
		sit up and lean forward.
		lie on their right side.
		lie on their left sides.

Question 43

As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as:

		dystonic ataxia.
		tabetic stamping.
		cerebellar ataxia.
		steppage gait.

 

Question 44

For purposes of examination and communication of physical findings, the breast is divided into:

		thirds (left, middle, and right).
		circles (six consecutive rings, each 1 inch farther away from nipple).
		four quadrants plus a tail.
		halves (upper and lower).

Question 45

The goals of preparticipation sports evaluation include:

		determining the best fit for positions in each sport.
		screening for steroid use or abuse.
		securing a legal contract before recommending limiting participation.
		identifying risk of injury or death during sports participation.

 

Question 46

The strength of the trapezius muscle is evaluated by having the patient:

		push her head against the examiner’s hand.
		straighten her leg with examiner opposition.
		uncross her legs with examiner resistance.
		clench her teeth during muscle palpation.

 

Question 47

Assessing orientation to person, place, and time helps determine:

		attention span.
		ability to understand analogies.
		abstract reasoning.
		state of consciousness.

 

Question 48

During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings:

		indicate the need for amniocentesis.
		indicate a need for hospitalization.
		are usual conditions during pregnancy.
		suggest that she is having twins.

Walden University NURS 6512 Final Exam Quizlet Question 48

During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings:

		indicate the need for amniocentesis.
		indicate a need for hospitalization.
		are usual conditions during pregnancy.
		suggest that she is having twins.

Question 49

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

		housekeeping.
		communication skills.
		medication compliance.
		bathing.

Question 50

The rectal past medical history of all patients should include inquiry about:

		hemorrhoid surgery.
		bowel habits.
		dietary habits.
		laxative use.

 

Question 52

Loss of immediate and recent memory with retention of remote memory suggests:

		dementia.
		stupor.
		impaired judgment.
		attention-deficit/hyperactivity disorder (ADHD).

 

Question 53

Cranial nerve XII may be assessed in an infant by:

		observing the infant’s rooting reflex.
		watching the infant s facial expressions when crying.
		clapping hands and watching the infant blink.
		observing the infant suck and swallow.

Question 54

While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:

		level of personal education.
		alcohol, tobacco, and caffeine use.
		amount of personal income.
		history of medication allergies.

 

Question 57

A finding that is indicative of osteoarthritis is:

		Bouchard nodes.
		Heberden nodes.
		swan neck deformities.
		ganglions.

 

Question 58

Inspection of the scrotum should reveal:

		two testes per sac.
		smooth scrotal sacs.
		lightly pigmented skin.
		left scrotal sac lower than the right.

 

Walden University NURS 6512 Final Exam Quizlet Question 59

In the adult, the apical impulse should be most visible when the patient is in what position?

		Right lateral recumbent
		Supine
		Upright
		Lithotomy

 

uestion 60

A grade IV mitral regurgitation murmur would:

		radiate to the axilla.
		be described as a diastolic murmur.
		be heard best at the base.
		not be expected to have a thrill.

 

Question 61

Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian’s current problem?

		Covid-19 contact
		Anorexia symptoms
		Cocaine use
		Last menses

 

Question 62

An apical PMI palpated beyond the left fifth intercostal space may indicate:

		obesity.
		hyperventilation.
		left ventricular hypertrophy.
		decreased cardiac output.

Question 63

A chest radiography is performed on your patient that complains of having dyspnea, coughing productive sputum and chest pain. The image results shows consolidation and infiltrates. You compare this to your physical exam findings of distant or absent breath sounds and absent vocal fremitus. What is the most likely diagnosis? Walden University NURS 6512 Final Exam Quizlet

		COPD
		Pneumonia
		Congestive Heart Failure
		Cystic Fibrosis

 

Question 64

An ophthalmoscopic eye examination involves:

		lens inspection.
		sclera observation.
		near vision evaluation.
		visual field assessment.

 

Question 65

To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?

		Triceps
		Achilles
		Patellar
		Biceps

 

Question 66

When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Walden University NURS 6512 Final Exam Quizlet Your best action is to:

		defer the examination until another day.
		perform the examination while the child is in the mother’s lap.
		ask the mother to get the child to stop crying.
		move the child to the examination table and proceed matter-of-factly with the examination.

 

Question 67

You are conducting an examination of Mr. Curtis’s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:

		moderately loud.
		loud with palpable thrill.
		very loud without a stethoscope.
		barely discernible.

 

Question 68

A red, hot swollen joint in a 40-year-old man should lead you to suspect:

		cellulitis.
		gout.
		trauma.
		bursitis.

 

Question 69

When is the mental status portion of the neurologic system examination performed?

		During the time when questions related to memory are asked
		During assessment of cranial nerves and deep tendon reflexes
		During the history-taking process Walden University NURS 6512 Final Exam Quizlet
		Constantly, throughout the entire interaction with a patient

 

Question 70

Which portion of the physical examination is best done with the patient standing?

		Spinal
		Neurologic
		Rectal
		Musculoskeletal

The foramen ovale should close:

		by 12 months of age.
		by 4 weeks of age.
		within minutes of birth.
		by 24 weeks of gestation.

 

The foramen ovale should close:

		by 12 months of age.
		by 4 weeks of age.
		within minutes of birth.
		by 24 weeks of gestation.

Question 72

You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her?

		Visual acuity
		Cervical spine radiograph
		Mini-Mental State Examination
		Nerve conduction studies

 

Question 78

Diabetic peripheral neuropathy will likely produce:

		hypersensitive temperature perception.
		exaggerated vibratory sense.
		hyperactive ankle reflexes.
		diminished pain sensation.

 

Question 79

Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:

		hepatic dysfunction.
		diabetic ketoacidosis.
		tuberculosis.
		uremia.

 

Question 81

If pitting edema is unilateral, you would suspect occlusion of a:

		lymphatic duct.
		superficial artery.
		surface capillary.
		major vein.

 

Question 85

A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia. Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. You order an EKG and it shows heart rate above 200 beats/min and the ECG may look like a sawtooth cog.

What is the most likely diagnosis of this patient?

		Atrial Flutter
		Supraventricular Tachycardia
		NSR
		Afib with Right Ventricular Response

 

Question 89

Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by:

		determining tactile fremitus.
		auscultating the lung bases.
		estimating diaphragmatic excursion.
		percussing all lung fields.

 

Question 90

Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:

		adolescents.
		infants.
		older adults.
		middle-age adults. Walden University NURS 6512 Final Exam Quizlet

 

Question 93

You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient’s neurologic status, you would:

		palpate the jaw muscles as the patient clenches teeth.
		ask him to discriminate between the smell of orange and peppermint.
		test the six cardinal points of gaze.
		observe for swallowing and test the gag reflex.

 

Question 95

To assess a cremasteric reflex, the examiner strokes the:

		inner thigh and observes whether the testicle and scrotum rise on the stroked side.
		skin around the anus and observes for the anal wink.
		abdomen and observes whether the umbilicus moves away from the stimulus.
		palm and observes whether the fingers attempt to grasp.

 

 

Question 96

An elderly female was recently diagnosed with osteoporosis 2 weeks ago. Walden University NURS 6512 Final Exam Quizlet What is the hallmark appearance of a patient with this diagnosis?

		Dowager hump
		Scoliosis
		Ankylosing Spondylitis
		Herniated Lumbar Disk

 

 

Question 97

Palpation of epitrochlear nodes is part of the:

		assessment of the chest and thorax.
		examination of the upper extremities.
		examination of the head and neck.
		palpation of the abdomen.

 

 

Question 98

Bimanual examination of the uterus includes:

		grasping the cervix between the examining fingers.
		grasping the vaginal wall and pulling it downward.
		inserting one finger into the fundus Walden University NURS 6512 Final Exam Quizlet.
		placing the thumb on the clitoris and forefinger on the cervix.

 

 

Question 99

An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection?

		Haemophilus smear
		Cytology smear
		Trichomonas smear
		Gonococcal culture

Walden University NURS 6512 Final Exam Quizlet Question 100

You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with:

		Paget disease.
		fibroadenoma.
		fibrocystic changes.
		cancer.